California Impact Coalition Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CALIFORNIA IMPACT COALITION FOUNDATION

Practice address

2460 Incline CT
Antioch, CA 94531-8265

Phone

(925) 433-2791

Fax

(925) 433-2758

NPI assigned

Apr 8, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mandave Sandhu

Title

Board Member

Phone

(510) 410-4371

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1386438893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 CITRUS CIR STE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982643",
            "telephone_number": "925-433-2791",
            "fax_number": "925-433-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 INCLINE CT",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318265",
            "telephone_number": "925-433-2791",
            "fax_number": "925-433-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA IMPACT COALITION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "MANDAVE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "510-410-4371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Dauz Calica
• California Eye Clinic
• California Eye Clinic
• California Eye Clinic
• California Eye Clinic
• Graciela Calvillo
• Deidra Cambaliza
• Seema Cameron, MD
• Erin Christina Campbell-Johnston
• Alma Campbell

• Community/Behavioral Health Agency in Antioch, CA
• Providers in Antioch, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.